| NPI | 1629481346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 79909) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA IMF79909) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2015-09-28 |